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PRETRIAL RISK ASSESSMENT
NAME: DATE OF OFFENSE:
CASE NUMBER: DATE OF ASSESSMENT:
BOND AMOUNT:
COURT DATE:
1. What was the age of the defendant at first arrest. If unknown, use first conviction
0 = If the defendant was 33 or older
1 = If the defendant was 32 or
younger
____________
2. Does the defendant have two or more prior failure to appear warrants filed?
0 = No
1 = Yes How many of these were willful FTA: __________
____________
3. How many failure to appear warrants have been filed in the last 24 months
0 = None
1 = A single failure to appear in the last 24 months
2 = Two or more failure to appears in the last 24
months
____________
4. Did the defendant have three or more prior jail incarcerations?
0 = No
1 = Yes
Number of Prior Prison incarcerations: __________
_____________
5. Was the defendant employed at the time of arrest?
0 = Defendant is employed full time/disabled/retired/student (31+ hours)
1 = Defendant is employed part time (10-30 hours)
2 = Defendant is
unemployed
__________
Defendant on public welfare?: _____________
Job start date was within 6 months: ___________
6. Any illegal drug use in the last 6 months
0 = No
1 =
Yes
__________
7. Defendant self reported severe drug related problems
0 = No (1-3)
1 = Yes
(4-5)
__________
8. Has the Defendant lived at the current residence for 6 months or more?
0 = Yes
1 = No
Is the current residence within the assessor’s jurisdiction?
________ __________
TOTAL SCORE ________
A score of 0-3 = Low Risk
A score of 4-7 = Medium Risk
A score of 8-10 = High Risk
Please use the information above to support your answers.
State Of Ohio – Adult Parole Authority 373 S. High Street, Columbus, Ohio 43215 |
|
X☐ |
☐ |
I. Case Data |
|
Offender: Benny Smith Alias (ES): Bean Bean Address: 123 E. West County: Franklin Phone:745-675-9087 DOB: 09/23/1990 Age:35 Sex/Race: Black Birthplace: Sumter SC U.S. Citizen: X Other: SSN:231-76-8970 DL No.: 1014568 ID No.: N/A FBI No.: 237467865 BCI No.: 347856 Height:6’1 Weight: 170 Eyes: Green Hair: Brown X RT ☐ LT Handed ID Marks: X Functional Highest Grade Military |
Docket Number: KG-89768 County: Bishopville PDN: Presiding Prosecutor: Phone: Defense Phone: Investigating Referred: 27 March |
In Custody: X Facility & Pretrial Pretrial Active Officer/Phone: 745-321-2089 Active Officer/Phone: 745-515-8615 Detainers/Charges Disposition/Date: / 01/17/2016 |
II. Court Data |
Indictment/Date: / 05/05/2010 Plea/Date: / 05/06/2010 ORC No.: 4510.12 Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket 1. Name: Danny Rose / Docket 2. Name: Jack Daniels / Docket 3. Name: / Docket Number: |
Danny Rose Indictment/Date: / 05/05/2010 Plea/Date: / 05/06/2010 ORC No.: 4510.13 Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket 1. Name: Benny Smith / Docket 2. Name: Jack Daniels / Docket 3. Name: N/A / Docket Number: N/A |
Jack Daniels Indictment/Date: / 05/05/2010 Plea/Date: / 05/06/2010 ORC No.: 4510.13 Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket number 1. Name: Benny Smith / Docket Number: 4510.12 2. Name: Danny Rose / Docket Number: 4510.13 3. Name: / Docket Number: |
Indictment/Date: / N/A Plea/Date: / N/A ORC No.: N/A Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket 1. Name: / Docket Number: 2. Name: / Docket Number: |
III. Offense Data |
|||
Details Of The It is established that Benny suffers |
Offenders’ Benny Smith is characterized by long This history dates back to his early It is also established that due to |
||
IV. Criminal Record |
|||
Juvenile: |
|||
Date |
Offense |
Place |
Disposition |
02/10/2001 |
Burglary while under parole |
Ohio Town |
2 years |
Details: Two years |
|||
Date |
Offense |
Place |
Disposition |
05/11/2003 |
Domestic |
Bishopville |
Parole |
Details: Benny Smith promised |
|||
Date |
Offense |
Place |
Disposition |
04/05/2004 |
Illegal |
Callrox town |
2 years |
Details: Benny smith |
|||
Date |
Offense |
Place |
Disposition |
06/02/2007 |
Drug abuse |
Ohio Town |
2 years |
Details: It has been |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Supervision Adult: |
|||
Date |
Offense |
Place |
Disposition |
02/10/2001 |
Burglary |
Ohio Town |
Serve in 4 |
Details: Benny Smith Serve in 4 community |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
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Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Dismissed/Nollied/Unknown/Traffic Supervision |
V. Social Summary |
||||||||||||||||||||||||
Domestic Marital Status ☐ Current Number Of Spouse: Maryanne Smith Age: 29 Address: 123 E. West Ave Occupation: Children:2 If Yes, How Many |
||||||||||||||||||||||||
Name |
Age |
Location |
Other Parent |
Child Support |
||||||||||||||||||||
Wallace Smith |
15 |
Bishopville |
Maryanne Smith |
☒ Amount Owed ☐ Paid Monthly |
||||||||||||||||||||
Hillary Smith |
9 |
Bishopville |
Maryanne Smith |
☒ Amount Owed ☐ Paid Monthly |
||||||||||||||||||||
☐ ☐ |
||||||||||||||||||||||||
☐ ☐ |
||||||||||||||||||||||||
Contact Person: Jackson Relationship: Brother Address: 123 E. West Phone:+ Comments: None |
||||||||||||||||||||||||
Associations: Friends Instant Offense History Of Organizations/Social Gang/Security If yes, list gang/rank: Comments: None |
||||||||||||||||||||||||
Residence: Sumter Living ☐ ☐ Other Current Living ☐ ☐ Other Current Other Lives With (Names): Cost: ☐ Owns/Mortgage ☒ Rents ☐ Amount Length Of Time Number of Non-U.S. INS Notified: ☐ Comments: |
||||||||||||||||||||||||
Education: Last Grade Reason For Last School Attended: Stanford University Location: US GED: ☐ Difficulty Certifications/Special If yes, list: Comments: |
||||||||||||||||||||||||
Physical Current Status: ☐ Good ☐ Nature of Disability: Presently Under Medical Doctor/Phone: Current Status: ☒ No Nature Of MH In Counseling Therapist/Phone:None Childhood Suicide MH When & Hospital: Unknown Diagnosis: Depression Past Social When & PSYCH. Comments: Current Status: Stable Drugs Amount/Frequency: Drug Treatment: Where and When: Was Treatment Current Status: Stable Age Of First Alcohol Alcohol Where and When: Was Treatment Comments: Fairly Primary Source Total Monthly Restitution Requested Total Amount Comments: None Current Status: On progress Reason For Not Current Job Title: N/A Start Date: N/A Supervisor: N/A Hours N/A Comments: N/A |
||||||||||||||||||||||||
Respectfully submitted, [img src=”file:///C:DOCUME~1MMEDIN~1LOCALS~1Tempmsohtmlclip1 1clip_image001.png” height=”2″ width=”234″> Amy Ng Approved By: [img src=”file:///C:DOCUME~1MMEDIN~1LOCALS~1Tempmsohtmlclip1 1clip_image002.png” height=”2″ width=”234″> John Doe cc: Judge (original) |
||||||||||||||||||||||||
Victim’s Version And Restitution Victims Defendant Case
Victims Honorable The I Very John |
||||||||||||||||||||||||
In Custody: X Facility & Pretrial Pretrial Active Officer/Phone: 745-321-2089 Active Officer/Phone: 745-515-8615 Detainers/Charges Disposition/Date: / 01/17/2016 |
II. Court Data |
Indictment/Date: / 05/05/2010 Plea/Date: / 05/06/2010 ORC No.: 4510.12 Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket 1. Name: Danny Rose / Docket 2. Name: Jack Daniels / Docket 3. Name: / Docket Number: |
Danny Rose Indictment/Date: / 05/05/2010 Plea/Date: / 05/06/2010 ORC No.: 4510.13 Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket 1. Name: Benny Smith / Docket 2. Name: Jack Daniels / Docket 3. Name: N/A / Docket Number: N/A |
Jack Daniels Indictment/Date: / 05/05/2010 Plea/Date: / 05/06/2010 ORC No.: 4510.13 Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket number 1. Name: Benny Smith / Docket Number: 4510.12 2. Name: Danny Rose / Docket Number: 4510.13 3. Name: / Docket Number: |
Indictment/Date: / N/A Plea/Date: / N/A ORC No.: N/A Statutory Bond Amt. Total Jail Co-Offender (If yes, list name (s) and docket 1. Name: / Docket Number: 2. Name: / Docket Number: |
III. Offense Data |
|||
Details Of The It is established that Benny suffers |
Offenders’ Benny Smith is characterized by long This history dates back to his early It is also established that due to |
||
IV. Criminal Record |
|||
Juvenile: |
|||
Date |
Offense |
Place |
Disposition |
02/10/2001 |
Burglary while under parole |
Ohio Town |
2 years |
Details: Two years |
|||
Date |
Offense |
Place |
Disposition |
05/11/2003 |
Domestic |
Bishopville |
Parole |
Details: Benny Smith promised |
|||
Date |
Offense |
Place |
Disposition |
04/05/2004 |
Illegal |
Callrox town |
2 years |
Details: Benny smith |
|||
Date |
Offense |
Place |
Disposition |
06/02/2007 |
Drug abuse |
Ohio Town |
2 years |
Details: It has been |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Supervision Adult: |
|||
Date |
Offense |
Place |
Disposition |
02/10/2001 |
Burglary |
Ohio Town |
Serve in 4 |
Details: Benny Smith Serve in 4 community |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Date |
Offense |
Place |
Disposition |
N/A |
N/A |
N/A |
N/A |
Details: |
|||
Dismissed/Nollied/Unknown/Traffic Supervision |
V. Social Summary |
||||||||||||||||||||||||
Domestic Marital Status ☐ Current Number Of Spouse: Maryanne Smith Age: 29 Address: 123 E. West Ave Occupation: Children:2 If Yes, How Many |
||||||||||||||||||||||||
Name |
Age |
Location |
Other Parent |
Child Support |
||||||||||||||||||||
Wallace Smith |
15 |
Bishopville |
Maryanne Smith |
☒ Amount Owed ☐ Paid Monthly |
||||||||||||||||||||
Hillary Smith |
9 |
Bishopville |
Maryanne Smith |
☒ Amount Owed ☐ Paid Monthly |
||||||||||||||||||||
☐ ☐ |
||||||||||||||||||||||||
☐ ☐ |
||||||||||||||||||||||||
Contact Person: Jackson Relationship: Brother Address: 123 E. West Phone:+ Comments: None |
||||||||||||||||||||||||
Associations: Friends Instant Offense History Of Organizations/Social Gang/Security If yes, list gang/rank: Comments: None |
||||||||||||||||||||||||
Residence: Sumter Living ☐ ☐ Other Current Living ☐ ☐ Other Current Other Lives With (Names): Cost: ☐ Owns/Mortgage ☒ Rents ☐ Amount Length Of Time Number of Non-U.S. INS Notified: ☐ Comments: |
||||||||||||||||||||||||
Education: Last Grade Reason For Last School Attended: Stanford University Location: US GED: ☐ Difficulty Certifications/Special If yes, list: Comments: |
||||||||||||||||||||||||
Physical Current Status: ☐ Good ☐ Nature of Disability: Presently Under Medical Doctor/Phone: Current Status: ☒ No Nature Of MH In Counseling Therapist/Phone:None Childhood Suicide MH When & Hospital: Unknown Diagnosis: Depression Past Social When & PSYCH. Comments: Current Status: Stable Drugs Amount/Frequency: Drug Treatment: Where and When: Was Treatment Current Status: Stable Age Of First Alcohol Alcohol Where and When: Was Treatment Comments: Fairly Primary Source Total Monthly Restitution Requested Total Amount Comments: None Current Status: On progress Reason For Not Current Job Title: N/A Start Date: N/A Supervisor: N/A Hours N/A Comments: N/A |
||||||||||||||||||||||||
Respectfully submitted, [img src=”file:///C:DOCUME~1MMEDIN~1LOCALS~1Tempmsohtmlclip1 1clip_image001.png” height=”2″ width=”234″> Amy Ng Approved By: [img src=”file:///C:DOCUME~1MMEDIN~1LOCALS~1Tempmsohtmlclip1 1clip_image002.png” height=”2″ width=”234″> John Doe cc: Judge (original) |
||||||||||||||||||||||||
Victim’s Version And Restitution Victims Defendant Case
Victims Honorable The I Very John Recommendations For Well, |
||||||||||||||||||||||||

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